Mpox / Smallpox Vaccines

Live replicating and non-replicating vaccines

This page catalogs 4 smallpox and mpox vaccine products spanning the current FDA-licensed options and historical formulations. Smallpox vaccines represent the oldest vaccine lineage in history, with vaccinia-based inoculation dating to Edward Jenner's 1796 work. The modern portfolio includes both replicating (ACAM2000) and non-replicating (JYNNEOS) platforms, with JYNNEOS holding dual indication for both smallpox and mpox.

Last updated: April 2026.

Mpox / Smallpox Vaccine Catalog

Trade NameGeneric DesignationManufacturerVaccine TypeRegulatory Status & YearKey Notes
JYNNEOS / ImvamuneSmallpox and monkeypox vaccine, live non-replicatingBavarian NordicLive MVA (non-replicating)FDA Licensed, 2019Dual indication smallpox/mpox
ACAM2000Smallpox and mpox (vaccinia) vaccine, liveEmergent BioSolutionsLive vaccinia (replicating)FDA Licensed, 2007Replicating vaccinia; significant adverse event profile
DryvaxSmallpox vaccine (dried calf lymph)WyethLive vacciniaFDA Licensed; DiscontinuedHistorical standard; replaced by ACAM2000
Lancy-VaxinaCalf lymph smallpox vaccineSwiss Serum InstituteLive viral (calf lymph)Historical; DiscontinuedSwiss smallpox vaccine; approximately 100-year production run

Sources

Regulatory data sourced from FDA CBER Vaccines Licensed for Use in the United States (March 2026). Historical context informed by Khan, Shaz, The Ultimate Vaccine Timeline.